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Exit Survey
 
 
I'm xxx and I am one of the leaders here at Kennestone Hospital. I am rounding today to make sure we are providing you with Very Good Care. How are we doing so far?
   
 
 
 
One of our goals is to keep you and your family informed during your stay.
Are we keeping you informed?
 
Always
 
Usually
 
Sometimes
 
Never
 
 
 
Comments about informed
   
 
 
 
Is your care team keeping you updated? Ask further questions about nurses and doctors as needed
 
Yes
 
No
 
 
 
Did you participate in a bedside shift report with your team today?
 
Yes
 
No
 
 
 
Do you know the plan for your care today?
 
Yes
 
No
 
 
 
Is white board updated and complete?
 
 
 
Is there any team member you have interacted with who's done a particularly nice job that I can acknowledge? We like to personally share feedback with our team.
   
 
 
 
Have you had any issues or problems since you arrived?
   
 
 
 
Comments/Suggestions: